Vitrectomy-assisted phacoemulsification for lenticular coloboma.

Abstract:

:We describe a technique to prevent continuous vitreous hydration during phacoemulsification in eyes with lenticular coloboma. The hydration results from communication between the anterior and posterior chambers from the edges of the colobomatous defect. To avoid this, a valved trocar is placed at the pars plana site around the area of the lenticular defect, which allows a limited dry vitrectomy during phacoemulsification. Intermittent vitrectomy with a moderate cutting rate and low vacuum parameters accompanied by temporary halting of the phacoemulsification procedure prevents vitreous herniation into the anterior chamber and limits the extension of zonular compromise, facilitating safe phacoemulsification with appropriate capsule expansion and fixation devices and implantation of an intraocular lens.

authors

Agarwal A,Narang P,Agarwal A

doi

10.1016/j.jcrs.2016.10.028

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

156-161

issue

2

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(17)30026-3

journal_volume

43

pub_type

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